Physical exercise and epicardial adipose tissue: A systematic review and meta-analysis of randomized controlled trials.

Obesity Reviews : an Official Journal of the International Association for the Study of Obesity
Gonzalo Saco-LedoAlejandro Lucia

Abstract

We performed a meta-analysis of the effects of exercise on epicardial adipose tissue (EAT). A systematic search was conducted in PubMed and Scopus (since inception to 1 February 2020) of randomized controlled trials assessing the effects of exercise interventions alone (with no concomitant weight loss intervention) on EAT. The standardized mean difference (Hedges' g) and 95% confidence interval between interventions were computed using a random effects model. Ten studies (including 521 participants who had, on average, overweight/obesity) met all inclusion criteria. Interventions were supervised and lasted 2 to 16 weeks (≥3 sessions·per week). Exercise significantly reduced EAT (g = 0.82 [0.57-1.07]) irrespective of the duration of the intervention or the EAT imaging assessment method. Exercise benefits were separately confirmed for endurance (six studies, n = 287; g = 0.83 [0.52-1.15]) but not for resistance exercise training (due to insufficient data for quantitative synthesis). It was not possible to compare the effect of high-intensity interval training (HIIT) versus moderate-intensity continuous training (two studies, one reporting higher benefits with HIIT and the other no differences). Physical exercise interventions-par...Continue Reading

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Citations

Feb 16, 2021·The Journal of Clinical Investigation·Leroy C Joseph, John P Morrow
Mar 9, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Simiao Tian
Apr 8, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Gonzalo Saco-LedoAlejandro Lucia
May 11, 2021·Frontiers in Cardiovascular Medicine·Maria Inês RosaLeonardo Roever

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